Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Vermont for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Vermont only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Vermont (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Sarah Rich (NPI 1770874885)

Field	Value
Entity Type	Individual
Organization	Sarah Rich
Address	160 Allen St
City	Rutland
State	VT
ZIP	05701
Taxonomy	Emergency Medicine Physician
NPI Enumerated	April 23, 2011

Payer Source	Total Paid
Medicare	$49.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	180	$130	$22.9K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	200	$80	$16K
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	140	$50	$6.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$160	$2.6K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	30	$30	$840

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Sarah Rich — 1 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99285	34	130	110	$130	$16.2K
99291	99	120	40	$160	$9.4K
99284	13	140	100	$80	$8.5K
99283	3	110	40	$50	$2.3K
99282	2	30	20	$30	$500

Related Providers

Other providers that share a Tax Identification Number (TIN) with Sarah Rich, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rutland Hospital, Inc.	VT	Psychiatric Hospital Unit	$396.2K	$13.3M
Rutland Hospital, Inc	VT	Emergency Medicine Physician	$0	$1.8M
Rutland Hospital, Inc.	VT	Specialist	$0	$1M
Rutland Hospital, Inc.	VT	General Acute Care Hospital	$0	$948.8K
Jennifer Fauntleroy	VT	Psychiatry Physician	$65.4K	$712.9K
Rutland Hospital, Inc.	VT	Specialist	$0	$653.6K
Philip Ginsburg	VT	Gastroenterology Physician	$628K	$0
James Fitts	CA	Cardiovascular Disease Physician	$389.7K	$0
Rutland Hospital, Inc.	VT	Specialist	$0	$345K
William Lighthart	WY	Adult Reconstructive Orthopaedic Surgery Physician	$293.1K	$0

Sarah Rich — Billing Profile & Reimbursement Data

Sign up for Sarah Rich — Billing Profile & Reimbursement Data policy alerts

Sarah Rich — Billing Profile & Reimbursement Data

Sign up for Sarah Rich — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References